Individual
MS. LAURA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 466-2854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5206
LA
Other
Enumeration date
11/13/2007
Last updated
10/22/2014
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